The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) of non-ampullary duodenal lesions.

Description

This procedure can be used to treat abnormalities in the lining of the part of the small intestine near the stomach (the duodenum). A long camera (endoscope) is inserted through the mouth, oesophagus and stomach to view the affected area. A solution is injected into the wall of the duodenum, and then the abnormal parts of the lining are removed with special instruments. The aim of the procedure is to avoid the need for open surgery, and to obtain a good-quality sample for examination under the microscope.

OPCS4.6 Code(s)

Endoscopic submucosal dissection of duodenal lesions:

When performed with examination or other therapeutic procedures of other parts of the upper gastrointestinal tract the following OPCS-4 codes are assigned:

The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS. The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided. www.connectingforhealth.co.uk/clinicalcoding